Active NPI
Sisu Physical Therapy
- Orthopedic Physical Therapist
- Plymouth, MN
National Provider Identifier
1508535170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- SISU PHYSICAL THERAPY
- Practice address
- 2072 E Center Cir
Plymouth, MN 55441-3802 - Phone
- (920) 988-5893
- NPI assigned
- Sep 8, 2021
- Organization subpart
- Yes
- Parent organization
- CROSSFIT SISU
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Richards
- Title
- Owner
- Phone
- (612) 998-3590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
2072 E Center Cir
Plymouth, MN 55441-3802
Mailing address
2072 E Center Cir
Plymouth, MN 55441-3802
Phone (920) 988-5893
National Provider Directory
National Provider Directory- Tax ID family
- Sisu Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopedic Physical Therapist
- Plymouth, MN
- NPI 1497425896
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Minneapolis, MN
- NPI 1982138020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631059200000",
"number": "1508535170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2072 E CENTER CIR",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554413802",
"telephone_number": "920-988-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2072 E CENTER CIR",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554413802",
"telephone_number": "920-988-5893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SISU PHYSICAL THERAPY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CROSSFIT SISU",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-998-3590"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.